Organization Active NPI

Lapeer Dental Associates

  • General Practice Dentistry
  • Lapeer, MI
National Provider Identifier
1003036161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAPEER DENTAL ASSOCIATES
Practice address
381 N Saginaw
Lapeer, MI 48446
Phone
(810) 664-4542
Fax
(810) 664-3580
NPI assigned
Apr 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter M Mutch, DDS
Title
President of Organization
Phone
(810) 664-4542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

381 N Saginaw
Lapeer, MI 48446

Mailing address

381 N Saginaw
Lapeer, MI 48446
Phone (810) 664-4542

National Provider Directory

National Provider Directory

Locations

381 N Saginaw St
Lapeer, MI 48446
Phone (810) 664-4542

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003036161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 N SAGINAW",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-664-4542",
            "fax_number": "810-664-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 N SAGINAW",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-664-4542",
            "fax_number": "810-664-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPEER DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUTCH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OF ORGANIZATION",
        "authorized_official_telephone_number": "810-664-4542",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.